| 引用本文: |
郎显兵.通督调神、平衡阴阳针刺法对脑卒中后遗症患者肢体运动及语言能力的影响[J].湖南中医药大学学报,2017,37(5):519-522[点击复制] |
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| 通督调神、平衡阴阳针刺法对脑卒中后遗症患者肢体运动及语言能力的影响 |
| 郎显兵 |
| (北京市顺义区医院中医科, 北京 101300) |
| 摘要: |
| 目的 探讨通督调神、平衡阴阳针刺法对脑卒中后遗症患者肢体运动及语言能力的影响。方法 随机数字表法将96例脑卒中后遗症患者分为对照组与观察组，各48例，对照组采取综合康复训练干预，观察组在对照组基础上加以通督调神、平衡阴阳针法治疗，均干预4周，比较两组神经功能缺损临床疗效、治疗前后FMA评分、语言功能评分、改良Barthel指数及HAMD评分。结果 观察组治疗后神经功能缺损恢复总有效率93.75%，显著高于对照组的79.17%（P<0.05）。与治疗前比较，两组治疗后FMA评分、改良Barthel指数、语言功能评分（阅读能力、书写能力、听理解能力、复述能力）均显著上升，HAMD评分显著下降，差异有统计学意义（P<0.05）；观察组治疗后上述指标评分均明显优于对照组，差异有显著统计学意义（P<0.01）。结论 通督调神、平衡阴阳针刺法能有效促进脑卒中患者神经功能缺损恢复，改善患者肢体运动功能及语言能力，提高其生活质量。 |
| 关键词: 脑卒中 针刺 通督调神 阴阳平衡 肢体运动 语言能力 百会 大椎 神庭 |
| DOI：10.3969/j.issn.1674-070X.2017.05.015 |
| 投稿时间：2016-07-22 |
| 基金项目: |
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| Effect of Tongdu Tiaoshen and Balance of Yin-Yang Acupuncture Therapy on Body Movement and Language Ability of Stroke Patients with Sequelae LANG Xianbing |
| LANG Xianbing |
| (Beijing Shunyi District Hospital, Beijing 101300, China) |
| Abstract: |
| Objective To explore the effect of Tongdu Tiaoshen and balance of Yin-Yang acupuncture therapy on body movement and language ability of stroke patients with sequelae. Methods 96 cases of stroke patients with sequelae were randomly divided into the control group and the observation group, 48 cases in each group. The control group was given comprehensive rehabilitation training intervention. On the basis, the observation group was additionally given Tongdu Tiaoshen and balance of Yin-Yang acupuncture therapy. Both of the two groups were intervened for 4 weeks. The clinical curative effect on neurological impairment, FMA scores, language ability scores, modified Barthel index and HAMD scores before and after treatment were compared between the two groups. Results After treatment, the total effective rate of recovery from neurological impairment in the observation group (93.75%) was significantly higher than that in the control group (79.17%) (P<0.05). After treatment, FMA scores, modified Barthel Index and language abilities scores (reading ability, writing ability, listening comprehension ability, retelling ability) of the two groups were significantly higher than those before treatment, while HAMD scores were significantly lower (P<0.05). The scores mentioned above in the observation group after treatment were significantly better than those in the control group (P<0.05). Conclusion Tongdu Tiaoshen and balance of Yin-Yang acupuncture therapy could effectively promote the recovery of stroke patients from neurological impairment, improve the motor function of the limbs, language ability, and the quality of life. |
| Key words: stroke acupuncture smooting Du meridian and adjusting spirit balance of Yin-Yang body movement language ability Baihui point Dazhui point Shenting point |
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